Evidence map›Paper›PMID 42741516›Full record

ReviewDrug design, development and therapy2026

Natural Products Modulate Plaque Macrophage Functional Programs in Atherosclerosis.

Kai Yang, Shiyi Tao, Ruikang Liu, Jun Li, Zicong Xie, Xing Chang, Fuyuan Zhang, Yiying Liu

Abstract readReview
In one paragraph

Review in Drug design, development and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kai Yang *Department of Cardiovascular Medicine, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.
Shiyi Tao *Department of Cardiovascular Medicine, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.ORCID 0000-0003-1339-6449
Ruikang Liu *Department of Cardiovascular Medicine, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.
Jun LiDepartment of Cardiovascular Medicine, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.
Zicong XieDepartment of Cardiovascular Medicine, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.
Xing ChangDepartment of Cardiovascular Medicine, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.
Fuyuan ZhangDepartment of Cardiovascular Medicine, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.
Yiying LiuDepartment of Cardiovascular Medicine, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atherosclerosis is a chronic inflammatory and immunometabolic disease in which plaque macrophages integrate lipid-derived danger signals, metabolic stress and cell-death cues to shape foam-cell formation, necrotic-core expansion, fibrous-cap integrity and plaque vulnerability. Moving beyond the conventional M1/M2 paradigm, this review conceptualizes plaque macrophages as dynamic functional states organized around interconnected programs of inflammatory sensing, immunometabolic remodeling, lipid uptake and cholesterol efflux, efferocytosis and inflammation resolution, and intracellular quality control involving autophagy, mitophagy, inflammasome activation and pyroptosis. Within this framework, natural products, phytochemicals and traditional formulas are discussed as multi-level modulators of macrophage function and plaque remodeling. Their effects converge on limiting inflammatory amplification, restoring metabolic and lipid homeostasis, enhancing clearance of dying cells, preserving mitochondrial and lysosomal integrity, and reducing inflammatory cell death. By linking macrophage functional reprogramming with plaque composition and stability, this review provides an integrated mechanistic framework for understanding the anti-atherosclerotic actions of natural products and highlights their potential as complementary strategies for targeting residual inflammatory and plaque-related risk.

Indexed as

AtherosclerosisBiological ProductsMacrophagesPlaque, AtheroscleroticAnimalsEfferocytosisHumansBiological Productsatherosclerosisefferocytosisfoam cellsfunctional reprogrammingimmunometabolisminflammasomemacrophage functional programsnatural products

Identifiers

PMID42741516
PMCPMC13572857

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.